Transcript Highlights:

• must comply with applicable federal laws.
• Most concerning is that the proposed bill is in direct violation of FDA and USDA federal laws that clearly
• Federal law already allows teleadvice and teletriage.
• conflicts with federal law.
• be at risk of violating federal prescribing rules.

Bills: HB2340, HB2155, HB2531

Keywords: HB 2340, nursing assistants, nurse aide, substance use disorder monitoring program, monitoring program, credentialing, licensure, disciplinary records, enforcement action, public disclosure, privacy, third-party website, stipend program, financial assistance, treatment costs, drug testing, peer support, recovery, rehabilitation, board-approved program

Transcript Highlights:

• That would bring us into line with the federal standard under Section 1983.
• The legislature saw that the federal court system was failing miserably at holding parties who commit
• This is trying to direct the money to the Office of Tribal Affairs.
• There was state and federal funding that was received to address the backlog.
• State and federal funding that was received to address the backlog.

Bills: SB246, SB146, SB300, SB301, SB309, SM17

Keywords: massage therapy, licensure, health and safety standards, continuing education, establishment licensing, civil rights, sovereign immunity, damages, public body, lawsuit limitations, legal notice, child welfare, computing infrastructure, data management, Department of Health, appropriation, foster care, Indian children, cultural competency, training services

Transcript Highlights:

• Again, this seems like this ought to be a capital outlay, not a direct appropriation.
• We're also working with one of our federal grants, Workforce Development Where we're going to actually
• So there's a sense in my feeling that we are moving in the right direction now.
• I believe that we are moving in the right direction. I am prepared to continue. that.
• We are moving in the right direction.

Bills: SB194, SB200, SB203, SB204, SJR3

Keywords: appropriation, higher education, sports facilities, community college, Luna Community College, KANW, educational radio, rural news, public education, funding, education, documentary, historical figure, Padre Antonio Jose Martinez, cultural heritage, research funding, federal funding, New Mexico, University of New Mexico, New Mexico State University

Transcript Highlights:

• This often comes at the expense of hands-on learning, play, collaboration, and direct interaction with
• They will not—like, so when you even look in their direction, they just... it's like they're typing and
• We have one of eight Federal Aviation Administration test sites for unmanned aerial systems, which is

Bills: SB194, SB200, SB203, SB204, SJR3

Keywords: appropriation, higher education, sports facilities, community college, Luna Community College, KANW, educational radio, rural news, public education, funding, education, documentary, historical figure, Padre Antonio Jose Martinez, cultural heritage, research funding, federal funding, New Mexico, University of New Mexico, New Mexico State University

Bills: HB155, HB155

Keywords: homestead exemption, disabled veterans, tax relief, annual verification, property tax, state holidays, federal holidays, public holidays, legal holidays, office closures, state employees, personal leave, compensatory leave, bank closures, school closures, Mardi Gras, Mobile County, Baldwin County, Rosa Parks Day, Martin Luther King Jr. Day

Transcript Highlights:

• Okay. the federal changes to the Medicaid the federal changes to the Medicaid program.
• </c> realize the same savings as the federal realize the same savings as the federal government<00:08
• </c> account for over 85% of federal savings? account for over 85% of federal savings?
• </c> are a significant portion of the federal are a significant portion of the federal savings<00:09:
• </c> Medicaid state directed payment program. Medicaid state directed payment program.

Keywords: 00:00:22 - Call to Order and Roll Call 00:03:00 – Approval of June 25, 2025 Minutes 00:03:22 - Update on Federal Changes to the Medicaid Program 01:03:44 - State Directed Payments, Provider Taxes, and the Rural Health Transformation Fund: How Medicaid Changes Could Impact Kentucky Hospitals 01:29:42 – Public Comments 01:45:25 – Announcements 01:46:19 - Adjournment, 958, all

Summary: The Medicaid Oversight and Advisory Board met on July 30, 2025, approved the June 25 minutes, and received a presentation from Katherine Castanza of the National Conference of State Legislatures on Medicaid provisions in H.R. 1. The presentation outlined more than 20 Medicaid-related provisions, emphasizing that the largest federal savings come from work/community engagement requirements, changes to provider taxes, limits on state-directed payments, more frequent eligibility redeterminations for expansion populations, and related eligibility/enrollment changes. She said the fiscal effects are backloaded, with most reductions occurring in the later years of the 10-year window, and noted potential significant impacts on hospital payments and state financing. She also described new funding opportunities, including a $50 billion rural health transformation fund and a new home and community-based services waiver with associated grants. A substantial portion of the discussion focused on Kentucky’s pending community engagement 1115 waiver and how it would interact with the new federal requirements. Board members asked whether the waiver had been approved, what the cabinet’s contingency plan would be if CMS does not approve it, and what the timeline is for compliance. Cabinet representatives said the waiver has not yet been approved by CMS, remains under public comment, and that the state will wait for CMS guidance before moving forward; if needed, the state would amend the waiver or submit a new one. They said the work requirement must be in place by January 1, 2027, with a possible extension to 2028. Castanza also explained that expansion adults with incomes between 100% and 138% of the federal poverty level would face new cost-sharing requirements beginning October 1, 2028, and that eligibility redeterminations would move from annual to every six months starting January 1, 2027. She then walked through provider tax changes, including a moratorium on new provider taxes beginning October 1, 2026, and a phased reduction in the hold-harmless threshold for existing taxes beginning January 1, 2028, with exemptions for nursing facilities and ICF/IID providers. Board members questioned the timing and likely impact on Kentucky, and Castanza responded that the effect would depend on each tax’s current rate and would phase in over time.

Bills: SB 82, SB 1807, SB 2254, HB 119, HB 130, HB 581, HJR 98, SB 1988

Keywords: business liability, concealed carry, handgun policy, premises liability, criminal acts, civil liability, business premises, concealed handgun, property liability, property rights, gun regulations, criminal liability, protective order, confidentiality, personal information, court records, victim protection, charitable raffle, nonprofit, wildlife conservation

Transcript Highlights:

• in a unique position to support infrastructure projects along the US-Mexico border by leveraging federal
• Businesses could significantly benefit from direct access to Israeli innovation.

Bills: HB 1240, HB1353, HCR76, HCR90

Keywords: border region, infrastructure, economic development, government operations, education, international cooperation, infrastructure investment, bond issuance, state agencies, shrimp industry, federal regulations, foreign imports, economic impact, public health, Gulf Coast communities, Texas-Israel relations, Israel, Jerusalem, trade office, foreign relations

Transcript Highlights:

• As we begin to say, this is not acceptable, my ultimate hope is that that the federal government acts
• and says to all 50 states this is a direction we're going in.
• I just want us, as we move forward, as these federal cuts continue to happen, that we keep in mind that
• TCEQ currently regulates the National Pollutant Discharge Elimination which is a federally delegated
• It ensures that the majority of contributions are directed toward their intended purpose.

Bills: SJR18, SCR9, SCR13, SB10, SB11, SB19, SB20, SB25, SB62, SB260, SB263, SB293, SB314, SB384, SB412, SB441, SB442, SB494, SB523, SB569, SB616, SB688, SB707, SB766, SB842, SB869, SB890, SB914, SB929, SB971, SB992, SB1066, SB1145, SB1621, SJR36, SJR18, SCR9, SCR13, SB616, SB565, SB384, SB372, SB495, SB842, SB971, SB1066, SB929, SB765, SB523, SB62, SB19, SB18, SB666, SB688, SB707, SB888, SB687, SB706, SB847, SB869, SB890, SB992, SB1145, SB494, SB290, SB766, SB11, SB10, SB13, SB263, SB412, SB20, SB441, SB442, SB1621, SB569, SB314, SB25, SB293, SB914, SB260, SB1248, SB740, SB14, SB1006, SB20, SB25, SB260, SB293, SB314, SB384, SB442, SB494, SB616, SB869, SB890, SB929, SB992, SB1145, SB1621, SR232, SR237, SR242, SB16, SB22

Keywords: capital gains, taxation, constitutional amendment, state revenue, individual investment, Supreme Court, judicial independence, Keep Nine, checks and balances, water rights, treaty compliance, Rio Grande, agriculture, drought, international water, Texas water supply, education, Ten Commandments, public schools, religious display

Transcript Highlights:

• FEDERAL FUNDING FOR THIS AND IT.
• We will need a federal waiver to do it.
• We do have to get a waiver from the federal government. That is step number one.

Bills: SJR18, SCR9, SCR13, SB10, SB11, SB19, SB20, SB25, SB62, SB260, SB263, SB293, SB314, SB384, SB412, SB441, SB442, SB494, SB523, SB569, SB616, SB688, SB707, SB766, SB842, SB869, SB890, SB914, SB929, SB971, SB992, SB1066, SB1145, SB1621, SJR36, SJR18, SCR9, SCR13, SB616, SB565, SB384, SB372, SB495, SB842, SB971, SB1066, SB929, SB765, SB523, SB62, SB19, SB18, SB666, SB688, SB707, SB888, SB687, SB706, SB847, SB869, SB890, SB992, SB1145, SB494, SB290, SB766, SB11, SB10, SB13, SB263, SB412, SB20, SB441, SB442, SB1621, SB569, SB314, SB25, SB293, SB914, SB260, SB1248, SB740, SB14, SB1006, SB20, SB25, SB260, SB293, SB314, SB384, SB442, SB494, SB616, SB869, SB890, SB929, SB992, SB1145, SB1621, SR232, SR237, SR242, SB16, SB22

Keywords: capital gains, taxation, constitutional amendment, state revenue, individual investment, Supreme Court, judicial independence, Keep Nine, checks and balances, water rights, treaty compliance, Rio Grande, agriculture, drought, international water, Texas water supply, education, Ten Commandments, public schools, religious display

Transcript Highlights:

• The federal low-income housing tax credit is the main way the federal government funds affordable housing
• </c><00:02:15.720><c> tax-exempt</c> gets a set amount of federal tax-exempt gets a set amount of federal
• The federal low-income housing bonds.
• ><c> a</c><00:02:26.360><c> project</c> federal law dictates how a project federal law dictates how a
• </c> safe harbor for repaying federal taxes. safe harbor for repaying federal taxes.

Bills: HF4234, HF3697, HF1183, HF4738

Keywords: HF4234, Minnesota private activity bonds, tax-exempt bonds, bond cap, aggregate bond limitation, residential rental projects, multifamily housing, affordable housing finance, housing bonds, public finance, bond allocation, private activity bond cap, Minnesota Statutes 474A.02, tax committee, tax refund, Minnesota Statutes, time limit, claims, tax overpayment, taxation

Bills: HB606, HB606

Keywords: HB606, Alabama, Department of Transportation, DOT, public highways, utility relocation, right-of-way, state right-of-way, road construction, bridge, tunnel, toll road, interstate highway, defense highway, utility facilities, broadband, telecommunications, cable, electricity, gas

Transcript Highlights:

• Senate Joint Memorial 8015 is about recent federal orders to consolidate federal wildland firefighting
• Given the vast amount of federally managed land in Washington, a strong and capable federal partnership
• , and decades of minimal forest management on federal lands.
• The federal government mustn't step back from the wildfire response.
• , especially in light of these recent federal actions.

Bills: SB5919, SB5816, SJM8015, HB2737

Keywords: fire safety, insurance incentives, best practices, community protection, voluntary measures, juice grapes, agriculture, commerce, state regulation, market access, federal response, wildfire protection, community safety, infrastructure, natural resources, commercial shellfish, shellfish fees, Department of Health, biotoxin testing, export certificate

Transcript Highlights:

• There was no direct correlation. That's true. But there was a cultural shift in thinking it's safe.
• There was no direct<00:37:32.480><c> correlation.
• </c><00:37:34.079><c> But</c> direct correlation. That's true. But direct correlation. That's true.
• Um, currently in the state of Hawaii under statute, we're required, if there is no direct, written instruction

Bills: SB2211, SB2025, SB2038, SB2050, SB2051, SB2090

Keywords: emergency funding, food assistance, healthcare, federal shutdown, Hawaii, DHS, jury duty, advanced practice registered nurses, physician assistants, exemption, patient care, financial hardship, medication abortion, anonymous prescription, pregnancy rights, healthcare privacy, pharmacy regulations, chiropractic education, clinical training, student supervision

Summary: The House Committee on Health held its first hearing of the session and opened with housekeeping notes, introductions of members, and an explanation that the agenda would be taken out of order to accommodate a sign language interpreter. The committee first heard HB 469, relating to parking for disabled persons. Testimony from the Disability and Communications Access Board and the State Council on Developmental Disabilities supported the bill, explaining that a travel placard would help people with disabilities who must travel interisland or to the mainland for medical care. Members asked about emergency travel, misuse prevention, and how to distinguish the travel placard from existing disabled parking placards; witnesses said the bill would need to be tied to administrative rules, and agreed the placard should clearly show an expiration date and likely be a different color. No vote was taken. The committee then heard HB 218, relating to hospital surgical smoke. The Department of Health supported the measure, and the Healthcare Association of Hawaii supported it with amendments, saying hospitals already follow existing standards but that any new policy should account for different procedures and provider safety. A committee member questioned the proposed amendment language and whether it was too flexible; the witness explained the intent was to allow case-by-case application because some procedures generate only brief exposure. Members also asked what surgical smoke is, and the witness explained it is produced when electrical or cauterizing tools are used on tissue and creates vapor or fumes. The bill remained under discussion with no final action reported. The committee next took up HB 814, which would fund a public information campaign and related services on cannabis use among youth. The Department of the Attorney General said the bill should be amended to clarify whether the funding would be used for contracts or grants and to include proper grant standards if grants are intended. The Department of Health supported the bill and said the funds would expand prevention, treatment, recovery, and public education efforts, including social media outreach, PSAs, and school-based youth services. Multiple organizations and individuals testified in support, emphasizing the harms of youth cannabis use and the need for prevention and treatment resources. Members asked what the department currently does, whether it is fulfilling existing law on science-based cannabis information, and what kinds of treatment would be provided; the department said services would mainly be intensive outpatient, outpatient, counseling, and related youth-focused supports. No vote was taken during the hearing.

Transcript Highlights:

• This could create issues when giving directives because they don't follow the same... ...follow the same
• But we don't ask the federal government...
• But we don't ask the federal government to come in and say, "Hey, we need more state troopers from all
• We're not asking the federal government to say, "Hey, Governor of the Attorney General, the federal government's
• because of the decisions that makers have to be competitive against state troopers, the sheriff, and federal

Bills: SB82, SB78, SB4, SB6, SB62, SB66, SB77, SB63, SB79, SB53, SB55, HB14

Keywords: inhalants, butyl nitrite, nitrous oxide, amyl nitrite, possession, sale, misdemeanor, felony, criminal penalties, public health, school safety, resource officers, law enforcement, public schools, private schools, liability insurance, contracting, library governance, board appointment, library diversity

Transcript Highlights:

• SNAP recipients can already purchase groceries online, but federal rules generally prohibit benefits
• Congressman Fields has introduced federal legislation to allow SNAP benefits to cover delivery costs,
• So, man, I was thinking in the wrong direction. If somebody puts $20, they're going to get $30.
• But in the reverse direction.
• And I would like to see what we as a state can do to engage the federal government on this.

Bills: HR174, HR194, HCR98, SB39, SB124, SB190, SB236, SB270, SB273, SB359, SB415, SB426, SB437, SB451

Keywords: fenbendazole, cancer treatment, public health, FDA, clinical trials, patient safety, visual acuity, student health, de-identified data, longitudinal analysis, education policy, SNAP, food stamps, Supplemental Nutrition Assistance Program, grocery delivery, delivery fees, service charges, online grocery, food access, food insecurity

Transcript Highlights:

• vital virtual options for students while ensuring educational quality and compliance with state and federal
• Any cuts to our district this late in our fiscal year will have a direct and unavoidable impact on our
• schools. ...will have a direct and unavoidable impact on the classroom.
• COVID should not have pushed us in this direction.
• And I had just a bit of a follow-up to that direct. Mr. Chair, thank you.

Bills: HB2, SB204, SB241, HB34

Keywords: general appropriation, budget, Medicaid, education funding, public safety, higher education, research funding, federal funding, New Mexico, appropriation, University of New Mexico, New Mexico State University, New Mexico Institute of Mining and Technology, child care, child care assistance, child care subsidy, early childhood education, early childhood care, daycare, preschool

Transcript Highlights:

• The committee substitute simply adds a section to track federal law.
• Put Texas in line with federal law.
• Ask one, is Texas out of compliance with the federal statute?
• And this language came right out. ...the federal law.
• Well, how is our federal judiciary going to view that?

Bills: HCR10, HB1814, HB2160, HB2353, HB2643, HB2971, HB3282, HB3382, HB3996, HB4507, HB4509, HB4805, HB5551, HB1863, HCR10

Keywords: family abduction, child safety, custodial rights, parental kidnapping, awareness day, marriage license, informal marriage, family code, identity verification, child support, family law, child custody, court interview, parent-child relationship, child welfare, attorney ad litem, compensation, legal representation, government entity, HB 2643

Bills: SJR50, SJR52, SJR53

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, Oklahoma Health Care Authority, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs, provider regulations, benefits administration, rule approval

Bills: SJR50, SJR52, SJR53

Keywords: Medicaid, federal funding, state law, healthcare, low-income adults, Oklahoma Constitution, Oklahoma Health Care Authority, OHCA, health care rules, administrative rules, major rule, Title 75, Title 317, Oklahoma Administrative Code, OAC 317:30, health policy, state health programs, provider regulations, benefits administration, rule approval

Summary: The Administrative Rules Committee met to consider three joint resolutions approving major rules. Chairman Kendricks presented SJR 50 and SJR 52, both related to Oklahoma Health Care Authority rules, and SJR 53, which was clarified to concern the Oklahoma Medical Marijuana Authority. Members asked why the Health Care Authority rules were split into two separate resolutions, and were told they could have been combined but were being handled separately. Each resolution was moved for adoption, there was little to no debate, and the committee voted to approve them. SJR 50 passed 10-0, SJR 52 passed 11-0, and SJR 53 also passed unanimously. After the votes, members exchanged brief remarks thanking one another for their work during the year and noting the committee’s efforts to reduce bureaucracy. A member asked whether suggestions should be raised at that time, and was told that was not the appropriate time. With no further business, the committee adjourned.